摘要
目的探讨不同体积宫颈扩张球囊和地诺前列酮在宫颈低Bishop评分瘢痕子宫孕产妇促宫颈成熟中的效果。方法回顾性分析2016年1月至2017年1月三水区人民医院收治的90例瘢痕子宫、宫颈Bishop评分<6分孕妇,依据促宫颈成熟方案分为小体积球囊组、大体积球囊组和地诺前列酮组,每组30例。于治疗前、治疗后采用宫颈Bishop评分评估宫颈成熟程度以及促宫颈成熟效果;观察产妇临产时间、第一产程时间、第二产程时间、总产程时间;比较3组产妇分娩结局。结果治疗后3组Bishop评分比较,差异有统计学意义(P<0.05),两两比较显示,地诺前列酮组Bishop评分低于大体积球囊组和小体积球囊组,差异有统计学意义(P<0.05)。3组促宫颈成熟效果比较,差异有统计学意义(P<0.05),两两比较显示,地诺前列酮组促宫颈成熟效果低于大体积球囊组,差异有统计学意义(P<0.05)。3组临产时间、第一产程时间和总产程时间比较,差异有统计学意义(P<0.05),两两比较显示,大体积球囊组和小体积球囊组临产时间、第一产程时间和总产程时间均短于地诺前列酮组,且大体积球囊组临产时间短于小体积球囊组,差异有统计学意义(P<0.05)。结论宫颈扩张球囊在瘢痕子宫孕产妇中的促宫颈成熟和引产效果优于地诺前列酮,且大体积宫颈扩张球囊可以缩短产程时间。
Objective To investigate the effect of different volumes of cervical dilatation balloon and dinoprostone on cervical ripening in scar uterine pregnant women with low Bishop scoring. Methods From January 2016 to January 2017, 90 pregnant women with scar uterus admitted to Foshan Sanshui District People’s Hospital and cervical Bishop score <6 were retrospectively analyzed. According to the protocol of promoting cervical ripening, patients were divided into 3 groups: small volume balloon group, large volume balloon group and dinoprostone group, 30 cases in each group. Cervical Bishop score was used to evaluate the degree of cervical ripening before and after treatment. The duration of labor, the time of first birth, the duration of second birth and the duration of labor were observed. The delivery outcomes of the three groups were compared. Results The Bishop scores of the three groups after treatment were significantly different(P<0.05). The comparison of Bishop scores in the dinoprostone group was lower than that in the large volume balloon group and the small volume balloon group, the difference were significant(P<0.05). The cervical maturation effect in three groups were different, and the difference was statistically significant(P<0.05), pairwise comparison showed that dinoprostone cervical ripening effect was lower than the large volume balloon group, the difference was statistically significant(P<0.05). The labor time, the first stage of labor time and total labor time of three groups was significantly different(P<0.05), a pairwise comparison showed that labor time, the first stage of labor time and the duration of labor of large volume balloon group and small volume balloon group was shorter than that of dinoprostone group, and the labor time of large volume balloon group was shorter than that of small volume balloon group(P<0.05). Conclusion Cervical dilatation balloon is more effective than dinoprostone in promoting cervical ripening and induction of labor in pregnant women with scar uterus, and the large volume of cervical dilatation balloon can shorten the duration of labor.
作者
何健华
莫务琼
陈燕婷
吴燕祯
钟爱玲
莫晓仪
HE Jian-hua;MO Wu-qiong;CHEN Yan-ting;WU Yan-zhen;ZHONG Ai-ling;MO Xiao-yi(Department of Obstetrics,Foshan Sanshui District People's Hospital,Foshan Guangdong 528100,P.R.China)
出处
《中国计划生育和妇产科》
2019年第11期73-76,共4页
Chinese Journal of Family Planning & Gynecotokology
基金
2017年佛山市自筹经费类科技计划(医学类科技攻关)项目(项目编号:372)
关键词
宫颈扩张球囊
体积
地诺前列酮
瘢痕子宫
宫颈成熟
引产
cervical dilatation balloon
volume
dinoprostone
scar uterus
cervical ripening
induced labor
作者简介
通讯作者:何健华,毕业于广东医学院,本科,副主任医师,主要研究方向为产科学,E-mail:601366750@qq.com。
